NPIMap

Organization Active NPI

Oakhaven Anesthesia Services, PLLC

  • Anesthesiology Physician
  • Cookeville, TN
National Provider Identifier
1447596465
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
27789 Issued in TN
Legal business name
OAKHAVEN ANESTHESIA SERVICES, PLLC
Practice address
1 Medical Center Blvd
Cookeville, TN 38501-4294
Phone
(931) 644-2120
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jan Andries Herholdt, MBCHB (MD)
Title
Doctor/Owner
Phone
(931) 644-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 27789 TN Primary

Addresses

Primary practice location

1 Medical Center Blvd
Cookeville, TN 38501-4294

Mailing address

Dept 888238
Knoxville, TN 37995-8238
Phone (931) 644-2120

National Provider Directory

National Provider Directory

Locations

100 W 4th St
Ste 310
Cookeville, TN 38501
Phone (931) 528-7877

Dept 888238
Knoxville, TN 37995

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1447596465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 888238",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379958238",
            "telephone_number": "931-644-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014294",
            "telephone_number": "931-644-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKHAVEN ANESTHESIA SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "HERHOLDT",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "ANDRIES",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "931-644-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MBCHB (MD)"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "27789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.